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PSNet: Patient Safety Network
Journal Article

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, et al. Annals of Surgery. 2012;256.

Resident participation in surgery is important for education purposes, but tensions exist between ensuring trainee competency and patient safety. This study used the National Surgical Quality Improvement Program database to compare postoperative outcomes for patients with and without resident participation in surgery. The authors found no difference in mortality or severe complications and a small increase in mild complications, mostly owing to slightly more superficial surgical site infections; operative time was approximately 25 minutes longer for resident surgeries. They conclude that resident involvement in surgical procedures is safe.